Cindy,

I have a similar situation.  My endocrinologist told me it is not good to
have high prolactin normally becuase it decreases the estrogen produced
and can lead to early menopause etc.  However, during lactation and
pregnancy it is desired.  I would tend to think she is mistaken thinking
the prolactin caused the tumor.
        <She does not believe that her endocrinologists will want her to
increase her prolactin levels (and she is hesitant as well since she
states the increased 'sky high' prolactin levels caused the tumor>
It is generally believed it is the tumor that causes the high release of
prolactin.  I would encourage her to contact her endocrinologist.  Mine
had me on medication and tested me while I was trying to get pregnant.
The day I tested positive - several days into the pregnancy, I was told
to stop the medication.
 I also would encourage the SNS - the stimulation at the breast is so
much better than the pump.  I was able to pump a normal amount as long as
i was NOT on the medication with my biological child.  I am currently
nursing an adopted child and have problems responding to the pump.  Ways
to increase milk output that I found helpful are having either baby
beside you or an article of clothing that smells like baby, stimulating
letdown with nipple stim prior to pumping, nice cup of tea(decaf) and
relaxing environment.  Another factor may be the added pressure of how
much she is pumping, just knowing it is a small amount may cause mom to
be nervous or upset and decrease milk output.  I think if she can wear
the supplementer, this will take the pressure off and allow her to relax
and enjoy the breastfeeding relationship.
I would also encourage her to discuss reglan or domperidone with her HCP.
 I took domperidone for 2 1/2 years while nursing my adopted son and am
now on it again and have had no ill effects.
JP Bonner

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